Preview of prices split by billing class

Prostate needle biopsy pathology exam HCPCS G0416

A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.

What a typical hospital charges

$807median estimated total, 52 hospitals that file both fees

Facility $584 · 72%Pro $223 · 28%

Roughly how the 52 totals divide: the median facility and professional fees on these terms, across every hospital filing each. Select a share for that fee on its own.

A hospital's total is its average facility fee plus its average professional fee. Only the 52 hospitals that file both fees as Fee schedule · Outpatient are counted. The median is of those totals, so it is not the sum of the facility and professional medians. This covers this code only: anesthesia, radiology and pathology are billed under other codes, and independent physician groups may bill separately and not appear in a hospital's file.

Hospitals

Showing 1–25 of 52 hospitalsi

Hospital	Estimated total
East Alabama Medical Center OPELIKA, AL	$249
Wakemed Raleigh Campus Raleigh, NC	$473
WakeMed Cary Hospital Cary, NC	$473
North Adams Regional Hospital North Adams, MA	$484
Henry Ford Health System West Bloomfield, MI	$496
Henry Ford Wyandotte Hospital

Price distribution

Estimated totalFee schedule · Outpatient

52 hospitals; the 90th percentile is 2.4× the 10th.